Provider Demographics
NPI:1881892107
Name:HONEYCUTT, KRISTIN MORGAN (RTT)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:MORGAN
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:RTT
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:MORGAN
Other - Last Name:ROBINSON AND O'DWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RTT
Mailing Address - Street 1:26516 LINDVOG RD NE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:WA
Mailing Address - Zip Code:98346-9634
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26516 LINDVOG RD NE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:WA
Practice Address - Zip Code:98346-9634
Practice Address - Country:US
Practice Address - Phone:206-550-9071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-08
Last Update Date:2007-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WART000000492471R0002X
CARHT 472012471R0002X
1833022471R0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy